CareMessage is looking for a Software Engineer with Ruby on Rails experience to help build and maintain our web platform that streamlines care management and delivers interactive mobile programs to improve health outcomes. You’ll be working on exciting projects like optimizing our Sidekiq queuing system, improving and building new integrations with Twilio, building our customer analytics code, and helping improve and maintain our own API. Our engineering team follows agile principles in a test driven development process. We are a remote first team that values open collaboration and shared ownership.


  • Design, build and maintain efficient, reusable, and reliable application code
  • Ensure the best possible performance, quality, and responsiveness of applications
  • Apply scalable application fundamental design principles as needed.
  • Collaborate with engineering, QA and product to ensure we provide a quality user experience for clinic staff across our apps, and ensure our app scales as our user base grows


  • 4+ years of professional web application engineering experience with Ruby on Rails, PostgreSQL
  • A solid understanding of Ruby and object-oriented programming
  • Familiarity with important development concepts including MVC, ORM, functional programing and RESTful APIs
  • Experience with Agile development methodologies
  • Ability to implement automated testing platforms and unit tests

Desired, but not required

  • Experience with JavaScript and Elixir
  • Familiarity with the healthcare industry and enterprise level application development
  • Familiarity with continuous integration tools

About CareMessage

CareMessage is a high-growth startup using our mobile SaaS platform to improve the health and wellness of millions of underserved patients.

When you think about big opportunities in healthcare IT, few people will argue that chronic disease prevention and management are ripe for disruption and a massive opportunity. The number of affected lives is mind-numbingly large, and the dollars are too.

This is particularly true for patients that are low income and underserved. In fact, being low income is a significant predictor of low health literacy and poor self-management skills, with patients below the poverty level constituting 43% of the health illiterate and a majority of the poorly managed.

With the implementation of the state and federal exchanges and an influx of individuals through the expansion of Medicaid into the health care ecosystem, payers and providers are struggling to serve this increase in low to modest income population with limited resources. This necessitates innovative approaches to facilitate health care delivery and promote self-management in light of increasing demand for healthcare services.

In order to succeed in solving this massive problem, you have to be highly innovative, highly available, and uniquely tailored to the key use cases of the complex healthcare industry. It takes years of intense focus, strong financial backing, and a great product in order to deliver a winning solution. We believe CareMessage (www.caremessage.org) has done all of these things and is positioned to be a breakout company in this exciting category.

CareMessage is a unique, fast growth (1,000%+ CAGR) SaaS not-for-profit health technology company dedicated to improving healthcare outcomes for underserved patient populations in the United States (and some day, globally). CareMessage’s technology acts as a bridge between the patient/caregiver and the healthcare organization, typically a hospital, clinic or health plan. For the healthcare organization, CareMessage’s cloud-based dashboard enables staff members to automate various kinds of interventions for individual and groups of patients. The patient/caregiver receives targeted alerts, reminders and notifications through text and voice messaging.

Over the last year, the Company has been tripled in size, quadrupled its total customer base and achieved significant revenue growth (including partnering with some of the largest health systems and health plans in the country). This is exciting times at CareMessage as we embark on the journey to make a huge impact with unprecedented growth.